Boby Varkey Maramattom @bobvarkey
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Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... this from an UMN palsy ... #hypoglossal #CNXII ... #CN12 #clinical
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction ... left 6th nerve palsy ... @bobvarkey #Convergence
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
caused by UMN XII palsy ... left LMN XII n palsy ... UMN XII nerve palsy ... Deviation #UMN #CNXII ... #palsy #clinical